OBSERVATIONAL LEARNING REQUEST FORM

Size: px
Start display at page:

Download "OBSERVATIONAL LEARNING REQUEST FORM"

Transcription

1 OBSERVATIONAL LEARNING REQUEST FORM Thank you for your interest in the observational learning/shadow experience at University Hospitals Portage Medical Center. Currently, shadowing is available in a variety of healthcare career areas. Volunteer Services will try to accommodate your request, although placement cannot be guaranteed. Observational experiences are typically limited to a maximum of 4 hours. Please be aware that for physician, physician assistant and nurse practitioner shadows, the observer will be required to contact and arrange their shadow experience independently but all other steps of the process must be followed. STEPS TO APPLY: 1. To begin the process, complete the Observational Learning Request Form so that we can place you appropriately. Requests must be received at least 2 weeks prior to a requested date. Once the completed forms are received, you will be contacted by Volunteer Services to confirm the date and appropriate department for your observational learning experience. 2. If you are shadowing during flu season months (typically November through March) you will need to attach proof that you have received a flu vaccination for the season. You will NOT be allowed to shadow if you do not bring proper documentation (vaccine record receipt from drug store or physician documentation). 3. On the day of your shadowing experience, please report to Volunteer Services 15 minutes before your scheduled time. You will receive a Visitor Badge and be escorted to your assigned area. Lunch is available in the cafeteria at the observer s expense. 4. Following your shadow experience, please return your Visitor Badge and the attached Observational Learning Completion Form to the Volunteer Services office. Please return items to: Volunteer Services, UH Portage Medical Center 6847 North Chestnut Street, Ravenna, Ohio Dress Code and Personal Appearance: Shadow students are expected to dress appropriately for their experience; solid color dress or khaki style pants, dress shirt, and clean and comfortable closed-toed shoes. Please do not wear denim jeans, capris, shorts, sleeveless blouses, sandals, or any attire that shows undergarments.

2 OBSERVATIONAL LEARNING REQUEST FORM PERSONAL INFORMATION First Name Last Name Address City State Zip Phone Number ( ) High School Student College Student Adult Learner SCHOOL INFORMATION Currently Attending Major Current school status: Freshman Sophomore Junior Senior Graduate Out of School EMERGENCY CONTACT INFORMATION Name Phone Number ( REQUEST ) If you have already arranged a job shadow with a UH Portage Medical Center employee or department, please list their contact information below. Employee Name: Job Title: Department: Date/Time Arranged : What job (s) or occupation(s) are you interested in observing. List choices in priority order. 1 st choice: 2 nd choice: 3 rd choice: What date or day of the week do you prefer to do the observation? / / *A 2 week notice is required BEFORE your desired shadow experience* What days of the week are you available to shadow? Monday Saturday Tuesday Sunday Wednesday Thursday Friday What time are you available for an observation? Between 8-noon Between 1-5pm Other *Shadowing is limited to a maximum of 4 hours* or week of *Saturday & Sunday shadows are not available in many departments* For Office Use Only Contact Person Contact Info Department Date Time Student Badge Computer Check

3 OBSERVATIONAL LEARNING RULES AND PROCEDURES Shadowing in a hospital is different in many ways compared to other job shadowing experiences. Listed below are important things to keep in mind while you are here. If you have any questions, please ask your contact person, the supervisor of the department in which you are shadowing or the Volunteer Services staff. Please read, check each box, sign the back and return with the Observational Learning Request Form to the Volunteer Office. Patient Rights/Confidentiality: Persons seeking services at UH Portage Medical Center have the right to have all information about their visits remain confidential. That means you cannot share information about any patient. You cannot tell anyone that a person is or is not a patient. Remember, what you see and hear stays here. Patients also have the right to privacy. Please be respectful and offer privacy if the situation arises. Smoking: UH Portage Medical Center is a non-smoking facility. Smoking is not allowed on hospital grounds, including the parking lots. Cell Phones: Cell phones are not permitted to be used during your shadow experience. Phones/purses can be stored in lockers in the Volunteer office. Emergency Pages: You may hear different overhead codes while at UH Portage Medical Center. Do not be alarmed. The overhead pages and explanations are listed below: Code Red: Fire Code Adam: Infant/Child Abduction Code Black: Bomb/Bomb Threat Code Gray: Tornado/Severe Weather Threat Code Orange: Hazardous Material Spill/Release Code Blue: Medical Emergency- Adult and Pediatric Code Pink: Medical Emergency- Infant Code Yellow: Disaster Code Violet: Violent Person Code Silver: Person with Weapon, Hostage Situation Code Brown: Missing Adult Patient During a Code Red, double doors located throughout the hallways of the hospital will automatically close. No one should go through a closed smoke door until an all clear message is announced by overhead announcement. Do not use the telephones. Tornado Warning- You should go to the innermost part of the building on the lowest floor and stay away from windows. Do not use elevators because the power may fail, leaving you trapped.

4 OBSERVATIONAL LEARNING RULES AND PROCEDURES Personal Safety: UH Portage Medical Center employees and visitors enjoy a relatively safe environment. Because this is a public area, we would like you to be aware of personal safety concerns. Do not park in handicapped designated areas. Police and Protective Service staff are available to walk you to your car after dark. Store purses and other valuables in designated areas. Wear your special identification badge at all times while you are in the building. Infection Control: Please be aware that a hospital serves both those individuals who may have an infection (e.g. tuberculosis) and people at risk to pick up infections (e.g. a newborn baby or person being treated for cancer). For these reasons, we request that you practice basic infection control procedures. You should wash your hands frequently while in the hospital. Hand washing is the single most important thing you can do to prevent the spread of infection. You should wash your hands at the following times: As you enter and leave the building Before you handle food Between any patient contact After using the restroom After coughing or sneezing Please observe the signs on patient rooms. DO NOT enter a patient room with an infection control warning sign. If you see a sharp object, DO NOT attempt to pick it up; notify an employee to pick up a sharp object. If you are ill, please stay at home. Notify Volunteer Services at (330) Hazardous Materials: Some areas of the hospital use chemical or radioactive materials. Please observe any department s specific instructions. DO NOT enter any rooms with the radioactivity symbol sign on the door.

5 OBSERVATIONAL LEARNING AGREEMENT APPLICANT AGREEMENT I have read the Student Observational Learning Experience forms for UH Portage Medical Center and hereby certify that all information provided in this request is accurate. I understand that submission of this request does not guarantee placement and is at the discretion of UH Portage Medical Center. I also understand that documentation of receiving a flu vaccination during specified months is required for shadowing. Further, I understand that an observational learning experience is strictly observation (no hands-on learning or clinical care will be provided). As an observational learner I am required to be with my preceptor at all times. Printed Name Date Applicant Signature

6 Observational Learning Completion Form Please complete this form and return it to Volunteer Services upon completion of your shadow hours along with your hospital issued Visitor badge. Observer Name: School: Observation Date(s): Major: Total Hours Observed: Preceptor Name: Position: Department of observation: Preceptor Signature: Please rate your shadow experience on a scale of 1 (poor learning experience) to 10 (excellent learning experience): What is something new that you learned from this experience?

Returning Volunteer Application

Returning Volunteer Application Returning Volunteer Application Office Use Only Application Received Brenda LeBlanc, Volunteer Coordinator 978-683-4000 x2645 Brenda.leblanc@lawrencegeneral.org Welcome! Returning Volunteers, Before returning,

More information

Internship Application x2645

Internship Application x2645 Internship Application 978-683-4000 x2645 Office Use Only Application Received Interview Orientation CORI TB1 TB2 Pin # Entered in Volgistics FLU PERSONAL INFORMATION First Name Last Name Street Address

More information

Adult Volunteer Application

Adult Volunteer Application Adult Volunteer Application Dear Community Friend: Thank you for your interest in volunteering at Slidell Memorial Hospital (SMH). Volunteering can be quite rewarding and, of course, is a great help to

More information

Page 1 of 7 ORIENTATION

Page 1 of 7 ORIENTATION ORIENTATION Page 1 of 7 Overview The job shadowing program at is designed to promote the health-care professions while safeguarding patient privacy and health. The following pages will cover the job shadowing

More information

Facility Orientation for the Educational Observation Program (aka: Shadowing)

Facility Orientation for the Educational Observation Program (aka: Shadowing) Facility Orientation for the Educational Observation Program (aka: Shadowing) University of Colorado Hospital - Office of Volunteers Contact: Jennifer Ricklefs, Manager Jennifer.Ricklefs@uchealth.org Phone:

More information

* Indicates lot is available for associate parking from 5pm on Friday to 7:30am on Monday.

* Indicates lot is available for associate parking from 5pm on Friday to 7:30am on Monday. L I I A Physician / CTC / Handicapped Only / VIP B Patient / Visitor / Tenant Visitor * C Tenant Staff * D Patient / Visitor / Tenant Visitor/ Vendors/ Contractors * E Tenant Staff * E East Associate Parking

More information

BON SECOURS DEPAUL MEDICAL CENTER

BON SECOURS DEPAUL MEDICAL CENTER BON SECOURS DEPAUL MEDICAL CENTER 150 Kingsley Lane, Norfolk Virginia 23505 Main Number: 757-889-5000 Volunteer Office: 757-889-5340 VOLUNTEER SERVICES Orientation Agenda I. Welcome II. Objective TO BE

More information

APP STUDENT CLINICALS APPLICATION

APP STUDENT CLINICALS APPLICATION APP STUDENT CLINICALS APPLICATION Thank you for your interest in performing clinicals at Stillwater Medical Center. Please read the following eligibility and requirements before completing the application.

More information

Applicant Name: First Middle Last. Age: Birth Date: Applicant Cell Phone: Address Phone: Number & Street Name City Zip Code

Applicant Name: First Middle Last. Age: Birth Date: Applicant Cell Phone: Address Phone: Number & Street Name City Zip Code PLEASE PRINT : Applicant Name: First Middle Last Age: Birth : Applicant Cell Phone: Address Phone: Number & Street Name City Zip Code (Applicant s) E-mail address: / Applicant s Parent s Legal Guardian/Mother/Father

More information

Please feel free to contact me at (410) if you have any questions regarding your application. Thanks again for thinking of Sinai Hospital!

Please feel free to contact me at (410) if you have any questions regarding your application. Thanks again for thinking of Sinai Hospital! July 2017 Dear Student, Thank you for your interest in Sinai Hospital s Student Fall Volunteer Program! As a healthcare family dedicated to our community, we are excited to help facilitate your hands-on

More information

KNIGHT S.H.I.F.T. SCHOOLS HELPING IN FAMILY TRANSITION

KNIGHT S.H.I.F.T. SCHOOLS HELPING IN FAMILY TRANSITION KNIGHT S.H.I.F.T. SCHOOLS HELPING IN FAMILY TRANSITION Introduction Mrs. Meisten Principal Mrs. Woody 6th Administrator Mrs. Sinkler 6th Counselor What do we believe? Why is the transition to middle school

More information

Application Deadline is Thursday April 13, Complete (include

Application Deadline is Thursday April 13, Complete (include Dear Junior Volunteer Applicant, Thank you for your interest in participating in the 2017 Junior Volunteer Program at Pardee Hospital. Your service is greatly appreciated by our staff, patients, and their

More information

VOLUNTEER SERVICES THINGS YOU NEED TO KNOW

VOLUNTEER SERVICES THINGS YOU NEED TO KNOW VOLUNTEER SERVICES THINGS YOU NEED TO KNOW VOLUNTEER DEPARTMENT PROCEDURES TABLE OF CONTENTS I. MISSON Our Commitment to Quality and Excellence II. III. IV. ORGANIZATIONAL VALUES From the Director Minimum

More information

Emergency Codes - Ouellette Campus

Emergency Codes - Ouellette Campus The Emergency Codes # is: 555 CODE RED - FIRE 555 CODE PURPLE - HOSTAGE SITUATION OR PERSON WITH WEAPON CODE BLUE - CARDIAC ARREST CODE GREEN - EVACUATION CODE YELLOW - MISSING PATIENT CODE BLACK - CODE

More information

Junior/Teen Volunteer Program

Junior/Teen Volunteer Program Junior/Teen Volunteer Program Dear Prospective Junior/Teen Volunteer: Enclosed you will find information and forms to complete to become a Junior/Teen Volunteer. The Junior/Teen Volunteer Program is a

More information

NEW EMPLOYEE ORIENTATION SAFTEY QUIZ EMPLOYEE ID#: DEPARTMENT: DATE:

NEW EMPLOYEE ORIENTATION SAFTEY QUIZ EMPLOYEE ID#: DEPARTMENT: DATE: NEW EMPLOYEE ORIENTATION SAFTEY QUIZ NAME: EMPLOYEE ID#: DEPARTMENT: DATE: Directions: Please read Annual Safety Training and complete Safety Quiz. Sign the acknowledgement form regarding Steward s Privacy

More information

Angelica Srivoraphan Business Development Coordinator Volunteer Services Leader Carolinas Rehabilitation Carolinas HealthCare System

Angelica Srivoraphan Business Development Coordinator Volunteer Services Leader Carolinas Rehabilitation Carolinas HealthCare System 2015 Dear Shadow Applicant: Thank you for your interest in the shadow program at Carolinas Rehabilitation. The shadow program will be a richly rewarding experience for you and I hope that you will find

More information

NOTE TO PARENTS: IMPORTANT GRADUATION MEETING

NOTE TO PARENTS: IMPORTANT GRADUATION MEETING March 2014 Dear Graduate and Parent or Guardian: The following information is important for all participants in order to facilitate and provide for an orderly transition through graduation and related

More information

Job Shadow Orientation Brochure

Job Shadow Orientation Brochure Job Shadow Orientation Brochure premierhealth.com Welcome to Premier Health Thank you for your interest in job shadowing at Premier Health! Premier Health offers opportunities for students to learn about

More information

Volunteer Orientation

Volunteer Orientation Volunteer Orientation Module #3 Infection Control Safety Gillette Children s Specialty Healthcare - Volunteer Services Preventing Infections How to prevent the spread of germs Hand hygiene Cover your cough

More information

Must provide copy of college/university enrollment confirmation. Must complete College Student Volunteer Application and Volunteer Agreement Forms.

Must provide copy of college/university enrollment confirmation. Must complete College Student Volunteer Application and Volunteer Agreement Forms. COLLEGE STUDENT VOLUNTEER APPLICATION: Thank you for your interest in the College Student Volunteer Program at Memorial Hermann. We receive many applications and accept students based on their application,

More information

Kimberly Harris. Dear Prospective Student Volunteer:

Kimberly Harris. Dear Prospective Student Volunteer: Dear Prospective Student Volunteer: Thanks for your interest in our summer volunteer program at Baylor Scott & White Medical Center White Rock. As a volunteer, you will be providing services and support

More information

Volunteer Orientation

Volunteer Orientation Volunteer Orientation Module #3 Infection Control Safety Gillette Children s Specialty Healthcare - Volunteer Services Preventing Infections How to prevent the spread of germs Hand hygiene Cover your cough

More information

Oregon State University School of Biological and Population Health Sciences KIN 344: Pre-Therapy/Allied Health Practicum.

Oregon State University School of Biological and Population Health Sciences KIN 344: Pre-Therapy/Allied Health Practicum. KIN 344: Pre-Therapy/Allied Health Practicum Checklist Obtain application packet and read all enclosed information Complete the Application Form Complete the Immunization Form Attach copies of medical

More information

By then end of this course the participant will be able to: 0 Identify the emergency codes and what extension to use to activate the system.

By then end of this course the participant will be able to: 0 Identify the emergency codes and what extension to use to activate the system. Agenda: By then end of this course the participant will be able to: 0 Identify the emergency codes and what extension to use to activate the system. 0 Explain the staff role in keeping RCHSD a safe place

More information

KENTUCKY HOSPITAL ASSOCIATION OVERHEAD EMERGENCY CODES FREQUENTLY ASKED QUESTIONS

KENTUCKY HOSPITAL ASSOCIATION OVERHEAD EMERGENCY CODES FREQUENTLY ASKED QUESTIONS KENTUCKY HOSPITAL ASSOCIATION OVERHEAD EMERGENCY CODES FREQUENTLY ASKED QUESTIONS Question - Why have standard overhead emergency codes? Answer Lessons learned from recent disasters shows that the resources

More information

$850* March 26- April 1. All-inclusive HBCU Tour. Register online at or at any of the monthly meetings.

$850* March 26- April 1. All-inclusive HBCU Tour. Register online at  or at any of the monthly meetings. Caring For Young Minds 2016 HBCU Tour March 26- April 1 $850* All-inclusive Luxury Motor Coach Meals Provided Marriott Hotels Well-Trained Chaperones Private Session with Admissions Onsite acceptance and

More information

COMMUNITY, COUNSELING & CORRECTIONAL SERVICES, INC. Gallatin County Re-Entry Program SPONSOR FORM

COMMUNITY, COUNSELING & CORRECTIONAL SERVICES, INC. Gallatin County Re-Entry Program SPONSOR FORM COMMUNITY, COUNSELING & CORRECTIONAL SERVICES, INC. Gallatin County Re-Entry Program SPONSOR FORM Name of Resident Being Sponsored: Name of Sponsor Applicant: Community passes are one of the most important

More information

HUMAN RESOURCES POLICY

HUMAN RESOURCES POLICY HUMAN RESOURCES POLICY Subject EMPLOYEE RELATIONS Title 1 of 5 Revision of 03/01/2010 Effective Date 01/14/2014 Removal Date: I. PURPOSE: Northwestern Memorial s mission of Patients First supports the

More information

St. Charles High School Senior Assembly Class of 2017

St. Charles High School Senior Assembly Class of 2017 St. Charles High School Senior Assembly Class of 2017 Important Dates and Information for May and June 2017 Senior Class Dues May 1, 2017-Notices were provided students who have not paid their senior dues

More information

POLICY PURPOSE PROCEDURE

POLICY PURPOSE PROCEDURE Vendor Visitation V13 040.010 Department: Security - 40 ID Number: 040.010 Approval Date: 08/11/2016 Approved By: John Bolde/Domino Policy Body This policy uses the term "Vendor" to refer to any person,

More information

IVROP JOB SHADOW PROGRAM ORIENTATION

IVROP JOB SHADOW PROGRAM ORIENTATION IVROP JOB SHADOW PROGRAM ORIENTATION Hospital Incident Command System (HICS) Emergency Codes Hospital Emergency Incident Command System Emergency Codes HEICS Emergency Codes These codes are part of the

More information

Guidelines for Volunteer Chaplains

Guidelines for Volunteer Chaplains Guidelines for Volunteer Chaplains MedStar St. Mary's Hospital believes that care involves the social, emotional, spiritual, as well as the physical and chemical restoration of the person. Every person

More information

Why fit in when you were born to stand out? Dr. Seuss. Class of 2015

Why fit in when you were born to stand out? Dr. Seuss. Class of 2015 Class of 2015 Why fit in when you were born to stand out? Dr. Seuss Class of 2015 April 2015 MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY 13 SR meeting with Principal 14 15 16 17 18 Distribute printout

More information

Emergency Codes ilearn Module Text Version

Emergency Codes ilearn Module Text Version Emergency Codes ilearn Module Text Version Introduction LHSC is committed to providing a safe environment. But unforeseen emergencies can and do happen, both within and outside of our facilities. These

More information

Student Observer Program Overview

Student Observer Program Overview Student Observer Program Overview Program Overview The Student Observer Program at Community Hospital-Fairfax is designed to promote and educate on healthcare professions while safeguarding patient privacy.

More information

Class of Senior Activity Calendar

Class of Senior Activity Calendar Class of 2017 Senior Activity Calendar Tuesday, March 21 Graduation Booklets distributed in advisory. All forms and information is included in the packet. Friday, March 31 Release/Agreement Form due to

More information

Must provide copy of college/university enrollment confirmation.

Must provide copy of college/university enrollment confirmation. College Healthcare Volunteer Applicants: Thank you for your interest in the College Healthcare Volunteer Program in the ER at Memorial Hermann Katy Hospital during the period of June 4 July 29, 2018. We

More information

JUNIOR VOLUNTEER SERVICE

JUNIOR VOLUNTEER SERVICE Application is due by April 30 th. Interviews conclude May 18 th Selections made May 31 st Program begins June 4 th Program concludes July 31 st JUNIOR VOLUNTEER SERVICE Thank you for inquiring about the

More information

Dear Participant, Thank you and enjoy your experience. Sincerely, Elizabeth Cerrillo Coordinator, Volunteer Services Sunnyside Community Hospital

Dear Participant, Thank you and enjoy your experience. Sincerely, Elizabeth Cerrillo Coordinator, Volunteer Services Sunnyside Community Hospital Dear Participant, A job/career shadow experience gives students and/or adults considering changing careers a meaningful introduction to the world of healthcare. It helps the participant identify career

More information

4/24/2018. Learning Objectives. FOUR cornerstones of safety for home visits. Home Visitor SAFETY Workshop

4/24/2018. Learning Objectives. FOUR cornerstones of safety for home visits. Home Visitor SAFETY Workshop Home Visitor SAFETY Workshop Infant & Early Childhood Conference May 4, 2018 Presenter: Pamela S. Williams Pamela S. Williams PCHP State Model Lead Thrive Washington Early Learning. Every Child. Our Future.

More information

Guest Relations for Students

Guest Relations for Students Guest Relations for Students Guest Relations Tift Regional Health System s (TRHS) culture as an organization and the principles of human relationships by which we operate are reviewed in this program.

More information

Kimberley Sweet. Dear Prospective Volunteer:

Kimberley Sweet. Dear Prospective Volunteer: Dear Prospective Volunteer: Thanks for your interest in our volunteer program at Baylor Scott & White Medical Center White Rock. Volunteers are an important part of our team, and our program will not only

More information

GENERAL HOSPITAL ORIENTATION Revised: January 2013 EE Intl Hosp Ort

GENERAL HOSPITAL ORIENTATION Revised: January 2013 EE Intl Hosp Ort GENERAL HOSPITAL ORIENTATION 2013-2014 1 GOOD SAMARITAN HOSPITAL MANDATORY EDUCATION CLASSES ATTENDANCE OR SELF-LEARNING MODULE ACKNOWLEDGEMENT Organizational Mission, Vision, and Goals Cultural Diversity

More information

Emergency Codes. ~( Code Triage

Emergency Codes. ~( Code Triage Emergency Codes ~( Code Red ~( Code Green ~( Code Blue/Code Broselow ~( Code Gray ~( Code Pink ~( Code Brown ~( Code White ~( Code Yellow ~( Code Black ~( Code Triage Code Red (Code Green- Drill} Code

More information

If you are currently a High School Senior. you will complete a general volunteer application, not this one.

If you are currently a High School Senior. you will complete a general volunteer application, not this one. 2018 North Cypress Medical Center Junior Volunteer Packet Must be a Current High School Sophomore or Junior If you are currently a High School Senior you will complete a general volunteer application,

More information

Individual Volunteer Application

Individual Volunteer Application Individual Volunteer Application This application is for individuals only. Once you submit this application, the Director of Volunteer Services and Community Outreach will contact you regarding your approval

More information

HIGH-SCHOOL STUDENT VOLUNTEER PROGRAM

HIGH-SCHOOL STUDENT VOLUNTEER PROGRAM HIGH-SCHOOL STUDENT VOLUNTEER PROGRAM 2017-2018 School Year Volunteer Application Becoming part of the NUMC volunteer team is a process and has many steps. Please review all the information carefully with

More information

New Volunteer Orientation

New Volunteer Orientation New Volunteer Orientation Orientation Outline 1. WELCOME Orientation Purpose Orientation Elements Joint Commission History and Background Purpose and Vision 2. VOLUNTEER SERVICES DEPARTMENT Organizational

More information

The TB Unit at Vancouver General Hospital

The TB Unit at Vancouver General Hospital The TB Unit at Vancouver General Hospital Contents Welcome... 1 Visiting hours... 2 Negative air flow... 2 Isolation precautions... 2 Clothing and valuables... 2 Smoking policy... 3 Meals... 3 Entering

More information

Objective: Emergency Access Number Always use the code words, not the actual emergency!

Objective: Emergency Access Number Always use the code words, not the actual emergency! Emergency Codes Objective: At the end of this self-study module, participants will be able to demonstrate knowledge of all emergency codes and their responsibilities during each code. All codes are initiated

More information

Volunteer Application and Placement Process

Volunteer Application and Placement Process Volunteer Application and Placement Process Thank you for your interest in volunteering at University of Colorado Hospital. Volunteers play an important and meaningful role in providing amazing service

More information

2013 Teen Volunteer Program

2013 Teen Volunteer Program 2013 Teen Volunteer Program Volunteer Services Office Dear Teen, Thank you for your interest in volunteering at. Students chosen to serve in our hospital will be those who can best represent our hospital

More information

Student Orientation Post-Assessment

Student Orientation Post-Assessment Name Date Student Orientation Post-Assessment Print, answer questions and bring with you to Education Resources at Penrose Hospital. 1. List two (2) of the seven (7) Centura Core Values and describe their

More information

Laramie County Sheriff s Department. Volunteer Handbook

Laramie County Sheriff s Department. Volunteer Handbook Laramie County Sheriff s Department Volunteer Handbook 1 Welcome Volunteer! Introduction to Security and Volunteer Rules and Conduct for the Laramie County Sheriff s Department INTRODUCTION The Laramie

More information

Hardeman County Correctional Center Whiteville, Tennessee. Inmate Mail Information. Procedures for Sending Money All money must be sent via J- Pay.

Hardeman County Correctional Center Whiteville, Tennessee. Inmate Mail Information. Procedures for Sending Money All money must be sent via J- Pay. Hardeman County Correctional Center Whiteville, Tennessee Inmate Mail Information The mailroom is open five (5) days per week, Monday through Friday, excluding State holidays. All mail is delivered through

More information

THIRD PARTY RIDE-A-LONG PROGRAM

THIRD PARTY RIDE-A-LONG PROGRAM General Conduct The conduct of a rider will reflect upon the individual, the responding agency, other cooperating agencies and the program in which the rider is associated with. Each rider is required

More information

Dear Parents, Each year we plan a graduation to honor our students and celebrate their success. Graduation is an important milestone for your

Dear Parents, Each year we plan a graduation to honor our students and celebrate their success. Graduation is an important milestone for your Dear Parents, Each year we plan a graduation to honor our students and celebrate their success. Graduation is an important milestone for your student, and we hope to deliver an occasion that will be remembered

More information

Student Orientation. The Education department at Florida Hospital Flagler hopes that you will have a valuable learning experience

Student Orientation. The Education department at Florida Hospital Flagler hopes that you will have a valuable learning experience Student Orientation Florida Hospital Flagler 60 Memorial Medical Parkway Palm Coast, FL 32164 The Education department at Florida Hospital Flagler hopes that you will have a valuable learning experience

More information

Volunteer Resources Time is a gift... give it to others.

Volunteer Resources Time is a gift... give it to others. Volunteer Resources Time is a gift... give it to others. CHEDOKE CHILDREN S GENERAL HENDERSON JURAVINSKI McMASTER VOLUNTEER RESOURCES MANUAL CONTACTS Chedoke Hospital 905-521-2100 Coordinator ext. 77542

More information

Nursing Student Orientation. Emergency Codes

Nursing Student Orientation. Emergency Codes Nursing Student Orientation Emergency Codes EMERGENCY CODES CODE RED - FIRE CODE PURPLE HOSTAGE OR PERSON WITH A WEAPON CODE BLUE CARDIAC ARREST CODE GREEN - EVACUATION CODE YELLOW MISSING PATIENT CODE

More information

If at any time you would like to know the status of your application please Maria Strmsek or April Garcia at the addresses listed below.

If at any time you would like to know the status of your application please  Maria Strmsek or April Garcia at the  addresses listed below. Dear Volunteer Applicant: Thank you for your interest in volunteering at Henry Mayo Newhall Hospital. Please review the Volunteer application and our Eligibility and Requirements. Return the COMPLETED

More information

Community Outreach Services, Inc Greenbelt Road Suite 206 College Park, MD (301) Fax: (301)

Community Outreach Services, Inc Greenbelt Road Suite 206 College Park, MD (301) Fax: (301) Community Outreach Services, Inc. 6215 Greenbelt Road Suite 206 College Park, MD 20740 (301)345-1459 Fax: (301) 345-1305 Office Policies Form *Office Hours *Times are subject to change. Please contact

More information

St. Vincent's Birmingham Patient Care & Service Area Locations

St. Vincent's Birmingham Patient Care & Service Area Locations St. Vincent's Birmingham Patient Care & Service Area Locations STUDENT NURSE GUIDE West Wing Main Wing East Wing South Tower Women's Center North Tower Ortho Sports Ground Floor Central Sterile Pre Admission

More information

Corporate Safety. Contents

Corporate Safety. Contents Corporate Safety This self-directed learning module contains information you are expected to know to protect yourself, our patients, and our guests. Target Audience: All Employees Contents Instructions...2

More information

Junior Volunteer Program

Junior Volunteer Program 5126 Hospital Drive Covington, GA 30014 Tel: 770.788.6553 Andrea.Lane@piedmont.org Junior Volunteer Program Information Packet Piedmont Newton Hospital Volunteer Services Summer 2016 June 13 July 22 1

More information

Thank you for choosing Fairfield Medical Center

Thank you for choosing Fairfield Medical Center Thank you for choosing Fairfield Medical Center Welcome to Fairfield Medical Center! We hope you find your student experience with us to be both beneficial to your personal and professional growth, as

More information

Ellie welcomes you to Ridgeview Institute

Ellie welcomes you to Ridgeview Institute Ellie welcomes you to Ridgeview Institute 3995 South Cobb Drive, Smyrna, Georgia 30080 Phone: 770-434-4567, 1-800-329-9775 Internet: www.ridgeviewinstitute.com Ridgeview Institute is a private, not-for-profit

More information

Emergency Management Plan and Emergency Operations Plan

Emergency Management Plan and Emergency Operations Plan Carolinas HealthCare System Blue Ridge Emergency Management Introduction Carolinas Healthcare System Blue Ridge uses a uniform system of Codes and Conferences to alert staff to emergencies in their facility.

More information

PURPOSE Outline policy if abducted infant from the Birth Center and well as procedure if missing adult or child within a PSFHS facility.

PURPOSE Outline policy if abducted infant from the Birth Center and well as procedure if missing adult or child within a PSFHS facility. POLICY TITLE: Code Pink Missing Infant/Child/Adult (PSF) DEPARTMENT: Clinical Patient Care ORIGINATION DATE: 03/31/1992 CATEGORY: Patient Care Services EFFECTIVE DATE: 03/28/2013 SCOPE All Penrose St.

More information

A Total Commitment is Required Including Attending All Practices and Games

A Total Commitment is Required Including Attending All Practices and Games DANCE TEAM AUDITION INFORMATION A Total Commitment is Required Including Attending All Practices and Games WHEN: Saturday, August 26 9 a.m. 3 p.m. WHERE: Aspen Athletic Club 61 st & S. Memorial Dr. Tulsa,

More information

Preparing for Fall Sports Season

Preparing for Fall Sports Season Preparing for Fall Sports Season Welcome to Rockhurst High School. We have a proud tradition of athletics at the school and view the experience as a privilege to the student-athlete. We hope that your

More information

Volunteer Opportunities

Volunteer Opportunities Volunteer Opportunities Library Reading: Volunteers are needed to read books to students in the library each day. Each class stays for 30 minutes, teachers provide the materials, and the schedule is as

More information

PURPOSE: To ensure that all LifeBridge Health employees project a professional image to patients, visitors and guests.

PURPOSE: To ensure that all LifeBridge Health employees project a professional image to patients, visitors and guests. Policy Title: Facility: Dress Code - LifeBridge LifeBridge Health Effective Date: 7/1/2017 SUMMARY: All LifeBridge Health staff, including residents, staff physicians, volunteers, temporary/agency employees

More information

Independence HS Home of the Knights. Class of 2018!

Independence HS Home of the Knights. Class of 2018! Independence HS Home of the Knights Class of 2018! Thank You! Because of your help Smooth Transition Developed Great Traditions (not done yet) 90% of your Classmates are Involved Created Pride in Our School

More information

New Volunteer Candidate Processing Form

New Volunteer Candidate Processing Form Last Name First Name New Volunteer Candidate Processing Form (DO NOT WRITE ON THIS PAGE FOR OFFICE USE ONLY) Application Picture I.D. Procedure Working Papers (If under 18 yrs.) Personal Reference Physical

More information

Professional Image. Definitions None

Professional Image. Definitions None Professional Image Document Owner: O'Connell, Tim Version: 1 Effective Date: 04/25/2013 Revision Date: 04/25/2016 Approvers: Thompson, Angela Department: Human Resources I. Purpose It is incumbent on each

More information

Physical Therapy Student Manual

Physical Therapy Student Manual Physical Therapy Student Manual 1 Table of Contents About our Clinic/Mission Statement/Goals Page 3 Absenteeism Page 4 CCCE Page 4 Cell Phone Usage Page 4 Dress Code Page 4 HIPPA Policy Page 5 In-Service

More information

HILLGROVE HIGH SCHOOL 2018 Graduation Information and Scheduled Activities

HILLGROVE HIGH SCHOOL 2018 Graduation Information and Scheduled Activities HILLGROVE HIGH SCHOOL 2018 Graduation Information and Scheduled Activities Graduation Ceremony Saturday, May 26, 2018, at 10:00 A.M. Kennesaw State University Convocation Center Graduates report to the

More information

Dear Parents/Guardians and Members of the Class of 2018:

Dear Parents/Guardians and Members of the Class of 2018: January 2018 Dear Parents/Guardians and Members of the Class of 2018: The graduation ceremony for the Winton Woods High School Class of 2018 will be held Thursday evening, May 24, 2018, at 7:30 P.M. at

More information

ILLINOIS CHARTERED ASSOCIATION OF DECA

ILLINOIS CHARTERED ASSOCIATION OF DECA ILLINOIS CHARTERED ASSOCIATION OF DECA CONDUCT, DRESS CODE & EMERGENCY INFORMATION FOR ALL DECA ACTIVITIES Attendance at any DECA sponsored conference or activity is a privilege. The following conduct

More information

2017 Annual Mandatory Education. Sarasota Memorial Health Care System

2017 Annual Mandatory Education. Sarasota Memorial Health Care System 2017 Annual Mandatory Education Sarasota Memorial Health Care System Self-Study Module Questionnaire The goals of Annual Mandatory Education are to provide employees with information pertinent to their

More information

BRISTOL PUBLIC LIBRARY EMPLOYEE HANDBOOK: A SUPPLEMENT TO THE CITY OF BRISTOL, VIRGINIA EMPLOYEE HANDBOOK

BRISTOL PUBLIC LIBRARY EMPLOYEE HANDBOOK: A SUPPLEMENT TO THE CITY OF BRISTOL, VIRGINIA EMPLOYEE HANDBOOK BRISTOL PUBLIC LIBRARY EMPLOYEE HANDBOOK: A SUPPLEMENT TO THE CITY OF BRISTOL, VIRGINIA EMPLOYEE HANDBOOK Approved April 16, 2015 Introduction The Bristol Public Library serves the citizens of both Bristol,

More information

THE 2014 AMERICAN RED CROSS SUMMER YOUTH VOLUNTEER PROGRAM AT THE EVANS ARMY COMMUNITY HOSPITAL FORT CARSON, COLORADO May 27 July 25

THE 2014 AMERICAN RED CROSS SUMMER YOUTH VOLUNTEER PROGRAM AT THE EVANS ARMY COMMUNITY HOSPITAL FORT CARSON, COLORADO May 27 July 25 THE 2014 AMERICAN RED CROSS SUMMER YOUTH VOLUNTEER PROGRAM AT THE EVANS ARMY COMMUNITY HOSPITAL FORT CARSON, COLORADO May 27 July 25 The American Red Cross (ARC) at Fort Carson s Evans Army Community Hospital

More information

Life Safety for Students

Life Safety for Students Life Safety for Students DISASTER RESPONSE Tift Regional Health System s Disaster Response includes an emergency code system and general actions each employee should take in the specified emergency situation.

More information

Student Planner

Student Planner Student Planner 2017-2018 This book belongs to Name: Address: Phone: Email: School: General Rules 2017-2018 Dress Code The following regulations regarding student dress generally requirements of the Dress

More information

Mad River Community Hospital Nursing Student Orientation

Mad River Community Hospital Nursing Student Orientation Mad River Community Hospital Nursing Student Orientation Topics Presented in this Orientation: Our Vision/ Standards of Excellence Services offered at MRCH Parking Student Nurse Responsibilities History

More information

University of Virginia Health System TABLE OF CONTENTS

University of Virginia Health System TABLE OF CONTENTS TABLE OF CONTENTS ACTIVE SHOOTER (RED ALERT)... Tab 1 BIOLOGICAL SPILL... Tab 2 BOMB THREAT... Tab 3 CHEMICAL SPILL... Tab 4 COMPUTER SYSTEMS... Tab 5 EARTHQUAKE... Tab 6 EVACUATION... Tab 7 FIRE... Tab

More information

Career. Exploration Program

Career. Exploration Program Career Exploration Program St. Elizabeth Healthcare is proud to offer a Career Exploration Program to provide realistic experiences and learning opportunities to individuals interested in pursuing a career

More information

St. Vincent s Health System Page 1 of 6. TITLE: PREVENTION OF AND RESPONSE TO INFANT/CHILD ABDUCTIONS CODE ADAM - INFANT or CHILD

St. Vincent s Health System Page 1 of 6. TITLE: PREVENTION OF AND RESPONSE TO INFANT/CHILD ABDUCTIONS CODE ADAM - INFANT or CHILD St. Vincent s Health System Page 1 of 6 TITLE: PREVENTION OF AND RESPONSE TO INFANT/CHILD ABDUCTIONS CODE ADAM - INFANT or CHILD FACILITY: St. Vincent s East FUNCTION: ORIGINATING DEPT: Safety/Protective

More information

SENIOR GUIDE For Seniors and Their Parents

SENIOR GUIDE For Seniors and Their Parents THE CLASS OF 2013 SENIOR GUIDE For Seniors and Their Parents Auburn Riverside High School Graduate Information The Class of 2013 *Special Senior Events* *Senior Prom - Saturday, April, 27 Midnight Stroll

More information

SECTION: EMPLOYEE RELATIONS PAGE: 1 of 6

SECTION: EMPLOYEE RELATIONS PAGE: 1 of 6 MEMORIAL MEDICAL CENTER HUMAN RESOURCES POLICY MANUAL Policy No. 5-7 SECTION: EMPLOYEE RELATIONS PAGE: 1 of 6 SUBJECT: MMC IMAGE DATE: 08/27/98; 11/1/00; 7/26/02; 7/01/03; 5/01/04; 9/01/04; 4/01/06; 9/01/06;

More information

KIDZKONNECT Calgary Zoo/TELUS Spark Youth Volunteer Program KidzKonnect Leader Opportunity Description and Application

KIDZKONNECT Calgary Zoo/TELUS Spark Youth Volunteer Program KidzKonnect Leader Opportunity Description and Application Calgary Zoo/TELUS Spark Youth Volunteer Program KidzKonnect Leader Opportunity Description and Application Thank you for your interest in KidzKonnect - the Calgary Zoo and Telus Spark s youth volunteer

More information

40 th Annual Conference & Exposition presented by NBMBAA

40 th Annual Conference & Exposition presented by NBMBAA 40 th Annual Conference & Exposition presented by NBMBAA GENERAL VOLUNTEER 2018 CONFERENCE GUIDE VOLUNTEER OFFICE INFORMATION: Office Location: Cobo Center, 1 Washington Blvd Detroit, MI 48226 Room (TBD)

More information

Emergency Response For Schools

Emergency Response For Schools Emergency Response For Schools A resource to help School Administrator s manage the first 30 minutes during an emergency. to Chignecto Central Regional Centre for Education 1 Emergency Response for Schools

More information

Welcome to Junior Volunteer Orientation 2012

Welcome to Junior Volunteer Orientation 2012 Welcome to Junior Volunteer Orientation 2012 This computer based training (CBT) contains a lot of important information. Please review this information carefully. It is very important that you understand

More information

MCC Weekly Monday, August 6th - Sunday, August 12th, 2018

MCC Weekly Monday, August 6th - Sunday, August 12th, 2018 MCC Weekly Monday, August 6th - Sunday, August 12th, 2018 1400 Marietta Country Club Drive Kennesaw, GA 30152 770-426-1808 fax 770-428-9336 www.mariettacountryclub.org Yoga Class Open Drills - Adult Monday

More information

WORKPLACE VIOLENCE. A basic overview for Mission Search healthcare professionals about Workplace Violence

WORKPLACE VIOLENCE. A basic overview for Mission Search healthcare professionals about Workplace Violence WORKPLACE VIOLENCE A basic overview for Mission Search healthcare professionals about Workplace Violence WORKPLACE VIOLENCE Workplace Violence Watch your surroundings, watch your activities, watch people,

More information

2018 Junior Volunteer Application (Please PRINT Use either blue or black ink All information must be completed by Junior Applicant)

2018 Junior Volunteer Application (Please PRINT Use either blue or black ink All information must be completed by Junior Applicant) Office Use Only Received By: Date Received: / /. Complete Incomplete Interviewed By: Date Interviewed: Accepted Not Accepted 2018 Junior Volunteer Application (Please PRINT Use either blue or black ink

More information

OAKHILL CORRECTIONAL INSTITUTION

OAKHILL CORRECTIONAL INSTITUTION OAKHILL CORRECTIONAL INSTITUTION Phone: (608) 835-3101 Fax: (608) 835-6090 Physical Address (MapQuest/GPS) Mailing Address 5212 County Hwy M P.O. Box 140 Oregon, WI 53575 Oregon, WI 53575 ENTRANCE GUIDELINES

More information